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Enhancing clinical communication skills through podcast-based scenario dialogues and shadow play: A mixed-methods
1Department of Nursing, Chang Gung University of Science and Technology, No. 261, Wenhua 1st Rd., Guishan District, 333, Taoyuan City, Taiwan, ROC.
Aim:
This study evaluated the effectiveness of a hybrid teaching model combining podcast-based scenario dialogues and culturally grounded shadow play in improving three components of language-based clinical communication skills among nursing students: vocabulary comprehension, conversational ability and clinical communication confidence.
Background:
Effective communication in patients' native languages is essential for delivering person-centered care, particularly in aging, multilingual societies. Direct language concordance enhances cultural responsiveness, patient safety and care equity.
Design:
A sequential explanatory mixed-methods design was used, comprising a quasi-experimental, pre-test-post-test non-randomized control group trial followed by qualitative interviews. The study involved 122 third-year nursing students at a university in Taiwan.
Methods:
Grounded in the cognitive theory of multimedia learning and situated learning theory, the intervention included podcast listening, shadow play and post-performance reflection. Quantitative data were analyzed using paired and Welch's t-tests; qualitative interviews (n = 18) were thematically analyzed.
Results:
The experimental group demonstrated large pre-post improvements in vocabulary comprehension, conversational ability and clinical communication confidence (Cohen's d = 1.48-1.64; all p < 0.001) and significantly higher post-test scores than the control group for vocabulary comprehension and conversational ability (both p < 0.001). The between-group difference in clinical communication confidence was smaller (p = 0.018) and did not meet the Bonferroni-adjusted significance threshold. Qualitative findings elucidated learning mechanisms, including repeated auditory exposure, reduced speaking anxiety and culturally embedded practice.
Conclusions:
The hybrid model enhances vocabulary comprehension, conversational ability and clinical communication confidence while fostering cultural responsiveness, offering a transferable framework for multilingual nursing education.
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